| NPI | 1386597060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE STIRLING FERGUSON Owner 859-224-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2026-02-20 |
| Last Update Date | 2026-02-20 |